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Shaw Dds Dental Corporation
Preferred Provider Organization in Los Angeles, California
NPI 1154765899

Shaw Dds Dental Corporation is a Preferred Provider Organization based in Los Angeles, CA. Shaw Dds Dental Corporation practices in Los Angeles, CA. The NPI Number for Shaw Dds Dental Corporation is 1154765899 and holds a License No. 54813 (California).

The current practice location address for Shaw Dds Dental Corporation is 5220 W Washington Blvd, Los Angeles, CA and can be reached out via phone at 323-933-5641 and via fax at 323-939-6620.

Location: 5220 W Washington Blvd, Los Angeles, CA, 90016-1331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154765899
Provider Name
Shaw Dds Dental Corporation
Credential
Provider Entity Type
Organization
Address
5220 W Washington Blvd, Los Angeles, CA, 90016-1331
Phone Number
323-933-5641
Fax Number
323-939-6620
Provider Enumeration Date
04/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5220 W Washington Blvd
City
Los Angeles
State
California
Zip
90016
Phone Number
323-933-5641
Fax Number
323-939-6620
person
Provider Business Mailing Address Details
Address
5220 W Washington Blvd
City
Los Angeles
State
California
Zip
90016
Phone Number
323-933-5641
Fax Number
323-939-6620
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
54813 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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